LTSS Svc Coord-RN Clinician (US)
Core
Manage member cases including physical, behavioral, and social health needs; develop and monitor care plans for individuals with chronic illnesses, co-morbidities, and disabilities.
Role type
Licensed RN Service Coordinator / Case Manager
Builds
Individualized care plans and care management treatment plans
Domain
Healthcare / Long-term services and supports (LTSS)
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Clinical assessment, care plan development, care coordination, chronic disease management, utilization management, team oversight (non-RN clinicians), goal setting
Preferred skills
Master's degree in Health/Nursing, state-specific certifications
Technologies
Electronic health records (implied via care plan management)
Responsibilities
Perform telephonic or face-to-face clinical assessments; manage members with chronic illnesses and disabilities; obtain member history to develop care plans; establish short and long-term goals with members and caregivers; provide direction and oversight to non-RN clinicians; facilitate authorizations and referrals for services; interface with Medical Directors and Inter-Disciplinary Teams.
Seniority
Mid-level, hands-on IC